Keytruda (pembrolizumab) vs Lunsumio (mosunetuzumab-axgb)

Keytruda (pembrolizumab) vs Lunsumio (mosunetuzumab-axgb)

Keytruda (pembrolizumab) is an immune checkpoint inhibitor that works by blocking the PD-1 pathway, which can help the immune system detect and fight cancer cells, and is widely used in various types of cancers, including melanoma, non-small cell lung cancer, and head and neck cancers. Lunsumio (mosunetuzumab-axgb), on the other hand, is a bispecific T-cell engager that redirects the body's own T-cells to engage and eliminate B-cells, and is used specifically for the treatment of certain types of B-cell non-Hodgkin lymphoma. When deciding between Keytruda and Lunsumio, it is crucial to consider the specific type of cancer being treated, the patient's overall health, and the treatment's side effect profile, as well as consulting with a healthcare professional who can provide personalized advice based on the patient's unique medical situation.

Difference between Keytruda and Lunsumio

Metric Keytruda (pembrolizumab) Lunsumio (mosunetuzumab-axgb)
Generic name Pembrolizumab Mosunetuzumab-axgb
Indications Various types of cancers including melanoma, lung cancer, head and neck cancer, Hodgkin lymphoma, and others Follicular lymphoma
Mechanism of action Programmed death receptor-1 (PD-1) blocking antibody Bispecific antibody targeting CD20 on B cells and CD3 on T cells
Brand names Keytruda Lunsumio
Administrative route Injection (Intravenous) Injection (Intravenous)
Side effects Fatigue, musculoskeletal pain, decreased appetite, itching, diarrhea, nausea, rash, fever, cough, dyspnea, constipation, pain in extremity, and headache Cytokine release syndrome, infections, fatigue, diarrhea, musculoskeletal pain, and anemia
Contraindications Individuals with hypersensitivity to pembrolizumab or any of its excipients Individuals with hypersensitivity to mosunetuzumab-axgb or any of its excipients
Drug class Anti-PD-1 monoclonal antibody Bispecific T-cell engager antibody
Manufacturer Merck & Co. Genentech, Inc.

Efficacy

Keytruda (Pembrolizumab) Efficacy in Lymphoma

Keytruda, known generically as pembrolizumab, is a monoclonal antibody that has shown efficacy in the treatment of various types of cancer, including lymphoma. Specifically, it has been used to treat Hodgkin lymphoma (HL) after failure of other treatments. Pembrolizumab works by blocking the programmed death receptor-1 (PD-1) pathway, which is exploited by cancer cells to evade the immune system. By inhibiting this pathway, Keytruda can enhance the body's immune response against cancer cells.

In clinical trials, pembrolizumab has demonstrated significant efficacy in patients with relapsed or refractory classical Hodgkin lymphoma. The overall response rate (ORR) in these studies was notable, with a considerable proportion of patients achieving complete remission. The durability of response has also been a promising aspect of pembrolizumab’s profile, with some patients maintaining remission for extended periods. However, it is important to note that individual responses to treatment can vary, and not all patients with lymphoma will experience the same level of benefit from pembrolizumab.

Lunsumio (Mosunetuzumab-axgb) Efficacy in Lymphoma

Lunsumio, with the generic name mosunetuzumab-axgb, is a bispecific antibody that targets both CD3 on T-cells and CD20 on B-cells. This dual targeting mechanism facilitates the direct killing of B-cells, which is particularly relevant in the treatment of B-cell lymphomas. Mosunetuzumab-axgb has been investigated for its efficacy in non-Hodgkin lymphoma (NHL), including diffuse large B-cell lymphoma (DLBCL) and follicular lymphoma, among other subtypes.

Recent clinical trials have shown that mosunetuzumab-axgb can induce complete remission in a significant number of patients with relapsed or refractory B-cell lymphomas. The ORR and complete remission rates in these trials have been encouraging, suggesting that mosunetuzumab-axgb may offer a new therapeutic option for patients who have exhausted other treatments. As with pembrolizumab, the responses to mosunetuzumab-axgb can vary, and long-term data on the durability of responses and overall survival are still being collected and analyzed to better understand the full potential of this treatment.

Regulatory Agency Approvals

Keytruda
  • European Medical Agency (EMA), European Union
  • Food and Drug Administration (FDA), USA
  • Health Canada
  • Therapeutic Goods Administration (TGA), Australia
  • Medsafe (NZ)
Lunsumio
  • European Medical Agency (EMA), European Union
  • Food and Drug Administration (FDA), USA

Access Keytruda or Lunsumio today

If Keytruda or Lunsumio are not approved or available in your country (e.g. due to supply issues), you can access them via Everyone.org.

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